Exam 8: Milieu Therapythe Therapeutic Community

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A nurse attends an interdisciplinary team meeting regarding a newly admitted client. Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry?

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B,C,E

A newly admitted client asks, "Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest." Which is the most appropriate nursing response?

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A

How does a democratic form of self-government in the milieu contribute to client therapy?

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C

A client on an inpatient unit angrily says to a nurse, "Peter is not cleaning up after himself in the community bathroom. You need to address this problem." Which is the appropriate nursing response?

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A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What should the nurse identify as an appropriate group topic?

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An angry client on an inpatient unit approaches a nurse stating, "Someone took my lunch! People need to respect others, and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy?

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A client is to undergo psychological testing. Which member of the interdisciplinary team should a nurse consult for this purpose?

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A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?

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To promote self-reliance, how should a psychiatric nurse best conduct medication administration?

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A scientific structuring of the environment in order to affect behavioral changes and to improve the psychological health and functioning of the individual is defined as ________________________ therapy.

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Which of the following conditions promote a therapeutic community?

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What is the best rationale for including family in the client's therapy within the inpatient milieu?

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